title: Child marriage and its association with adverse reproductive outcomes for women in Bangladesh.
abstract: This study examines the prevalence of child marriage and its effect on reproductive outcomes among women in Bangladesh using the most recent 2011 Bangladesh Demographic and Health Survey data. Both bivariate and multivariate statistical techniques used in the study yielded quantitatively important and reliable estimates of child marriage and its impact on adverse reproductive and health outcomes. Overall, 77% of the marriages among women aged 20 to 49 years old took place before the age of 18 years. Women's education is the most single significant determinant of child marriage. Findings revealed that after being adjusted for sociodemographic factors, child marriage significantly (P < .001) increases the likelihood of stillbirth/miscarriage (odds ratio [OR] = 1.80; 95% confidence interval [CI] = 1.45-2.24) and pregnancy termination (OR = 1.24; 95% CI = 1.12-1.38). Programs should aim to retain girls in school for longer periods not only to raise the age at first marriage but also for sound reproductive health and overall social development of Bangladesh.
authors.affiliation: University of Malaya, Kuala Lumpur, Malaysia Islamic University, Kushtia, Bangladesh kamaliubd@yahoo.com.
authors.forename: S M Mostafa
authors.initials: SM
authors.lastname: Kamal
authors.affiliation: University of Malaya, Kuala Lumpur, Malaysia.
authors.forename: Che Hashim
authors.initials: CH
authors.lastname: Hassan
mesh_terms: D000028:Abortion, Induced; D000293:Adolescent; D000328:Adult; D001459:Bangladesh / Q000453:epidemiology; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008393:Marriage / Q000706:statistics & numerical data; D008875:Middle Aged; D016017:Odds Ratio; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D015995:Prevalence; D060728:Reproductive Health; D012922:Social Change; D055815:Young Adult
keywords: Bangladesh; miscarriage; pregnancy termination; reproductive health; stillbirth